Analysis: UnitedHealthcare expands MA bundled payment plan offerings for 2020
HFMA’s Chad Mulvany says UnitedHealthcare’s move to expand its bundled payment offerings to providers in its Medicare Advantage plans in more than 30 states is a step in the right direction in support of providers’ efforts to transition to value-based payment models.
Analysis: N.C. House of Representatives stalls reference-based pricing plan
HFMA’s Chad Mulvany looks at the trend of states basing (or considering basing) hospital and physician service payment rates for employees on a percentage of Medicare.
Analysis: CVS, Walgreens look to the chronically ill for a pharmacy cure
HFMA’s Chad Mulvany looks at how insurers’ claims data could be used by CVS and Walgreens walk-in clinic care teams to flag high-risk patients and provide tailored care plans.
Analysis: Controlling access to control costs
Health-plan-based primary care offerings may be challenging conventional wisdom related to population health.
Analysis: Why physician practice acquisition by health systems is a growing trend
HFMA’s Chad Mulvany discusses why more physicians are selling their practices and what health systems need for these acquisitions to be financially viable in the long term.
Analysis: Kaine, Bennet public option health plan
HFMA’s Chad Mulvany reviews some possible short- and long-term outcomes of the public option health plan proposal by Senators Tim Kaine and Michael Bennet last week.
Analysis: What nonprofit hospitals should do to compete with healthcare industry disruptors
Health systems can effectively respond to nontraditional healthcare competitors in this review of findings from a Fitch Report of nonprofit hospital ratings.
Analysis: The pros and cons of large statewide ACOs
Experts say because of their sheer size, “super-ACOs” can bring stability to benchmarks but be difficult to manage.
Analysis: Why the U.S. healthcare system will ultimately move to population-based primary care models
Moving to alternative payment models and other preventative measures could help the U.S. address alarming chronic disease projections.
Analysis: CMS looks to partner with states to expand dual-eligible care models
CMS is encouraging states to test approaches to integrating dual-eligible patients’ care to improve outcomes and reduce costs for federal and state governments.